Active NPI
Lorie Rashelle Wydotis, APRN, FNP-C
- Cardiovascular Disease Physician
- Princeton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 3009572
- Practice address
- 100 Medical Center Dr
Princeton, KY 42445-2430 - Phone
- (270) 365-0350
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1083029 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3009572 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 3009572 | KY | Primary |
Addresses
Primary practice location
100 Medical Center Dr
Princeton, KY 42445-2430
Mailing address
100 Medical Center Dr
Princeton, KY 42445-2430
Phone (270) 365-0350
Other practice location 1
615 Old Symsonia Rd
Benton, KY 42025-1399
Phone (270) 527-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083029 | KY | MD | Registered Nurse |
| 3009572 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell County Hospital, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Trigg County Hospital, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Trigg County Hospital, Inc | Current | Accepting new patients | |
| Caldwell County Hospital, Inc. | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Marshall County Hospital District | Past | Accepting new patients |
Locations
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
110 Merchant St
Cadiz, KY 42211
Phone (270) 522-3215
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320
100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDFCD
- https://fhir-usa.unify.chbase.com/org/marshal-fc975078
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Cardiovascular Disease
-
- Physician Assistant
- Princeton, KY
- NPI 1891207460
Cardiovascular Disease
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Occupational Medicine Physician
- Princeton, KY
- NPI 1780688333
-
- Rural Health Clinic/Center
- Eddyville, KY
- NPI 1780464826
-
- Rural Health Clinic/Center
- Cadiz, KY
- NPI 1669103347
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1457731770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424452430",
"telephone_number": "270-365-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424452430",
"telephone_number": "270-365-0350"
}
],
"practiceLocations": [
{
"address_1": "615 Old Symsonia Rd",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "KY",
"postal_code": "420251399",
"country_code": "US",
"telephone_number": "270-527-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYDOTIS",
"first_name": "LORIE",
"middle_name": "RASHELLE",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1083029",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3009572",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "3009572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.